CPAN, CAPA Cert questions
A 12 12 months antique with known sickle cellular ailment and autism has passed through an
inguinal hernia repair. The perianesthesia nurse is aware that the MAIN surgical risk to this
affected person is:
1. Hypoxia from anesthesia.
2. Quit-organ harm.
3. Renal insufficiency.
4. Toxicity from heavy metallic. - ANS-1. Hypoxia from anesthesia.
Domain: Physiological Needs
Content Area: Stability of Respiratory System
Reference: Hockenberry, M., Wilson, D. Wong's Nursing Care of Infants and Children. Tenth Ed.
CV. Mosby, 2015. Pg 1348.
A affected person arrives in Phase I PACU receiving oxygen via nasal cannula at 2 liters in line
with minute. The wave forms on pulse oximetry are to start with regular with an oxygen
saturation of a hundred%. Ten mins after arrival to Phase I the alarm is sounded and the nurse
notes that the screen has stopped monitoring the pulse. The perianesthesia nurse must FIRST:
1. Growth the oxygen waft charge to the nasal cannula.
2. Flow the probe from the finger to the earlobe.
3. Encourage affected person to cough and deep breathe.
Four. Evaluate the patient for destructive physiological modifications. - ANS-four. Compare the
patient for detrimental physiological modifications.
Domain: Physiological Needs
Content Area: Stability of respiratory machine
Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. Sixth
Ed. Elsevier Saunders, 2013. Pg 357.
A patient in the PACU who acquired popular anesthesia is wakeful and alert with stable vital
symptoms. When the perianesthesia nurse gets rid of the affected person's oxygen the O2
saturation periodically drops to 88%. The perianestheisa nurse's subsequent exceptional
movement is to:
1. Notify the anesthesia company
2. Administer albuterol nebulizer
three. Start the stir-up regimen
four. Perform chin lift - ANS-3. Start the stir-up regimen
Domain: Physiological Needs
Content Area: Stability of breathing machine
Reference: Urden, L., et al. Thelan's Critical Care Nursing, Diagnosis and Management,
seventh Ed. Elsevier, 2014. Pg 1103.
, A patient with kind 2 diabetes mellitus is admitted the day of surgical treatment with a glucose of
610 mg/dl. The perianesthesia nurse is aware that the affected person can be at hazard for:
1. Diabetic ketoacidosis.
2. Hypercalcemia.
Three. Diabetes insipidus.
4. Hyperkalemia. - ANS-1. DKA
Domain: Physiological Needs
Content Area: Stability of Endocrine System
Reference: Fleisher, L. And Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health
Sciences, December, 2011. Pg 122.
A week earlier than a patient's surgical procedure, it changed into mentioned within the history
and bodily assessment that the affected person has acute bronchitis. The perianesthesia
nurse's BEST action is to:
1. Proceed with surgical operation.
2. Get an order for an antibiotic.
Three. Notify the doctor.
4. Put off the surgical treatment. - ANS-3. Notify the physician.
Domain: Physiological Needs
Content Area: Stability of respiration device
Reference: American Society of PeriAnesthesia Nurses. Perianesthesia Nursing Standards,
Practice Recommendations, and Interpretive Statements 2015 - 2017. ASPAN, Cherry Hill, NJ,
2015. Pg 34
During a pre-op assessment, a affected person reviews taking his morning dose of clinical
marijuana. The perianesthesia nurse understands that:
1. Current use may additionally impair capacity to provide consent.
2. No movement is wanted because of home remedy regimen.
Three. It's miles acceptable if there are no bodily signs and symptoms of marijuana intoxication
four. Recent use will lower publish-op agitation - ANS-1. Latest use can also impair capability to
offer consent
Domain: Safety Needs
Content Area: Deliver, file, and talk care based on standard countrywide standards of
perianesthesia nursing exercise and relevant legal guidelines, pointers, and regulations
Reference: Fleisher, L. And Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health
Sciences, December, 2011. Pg 616-617.
During discharge making plans of a patient who has obtained 6 gadgets of regular recombinant
human insulin (Humulin) subcutaneously, the perianesthesia nurse acknowledges that the
PEAK motion will occur in:
1. 1-five hours.
2. Five-7 hours.
3. 10-20 minutes.
4. 30-forty five minutes - ANS-1. 1 to five hours
A 12 12 months antique with known sickle cellular ailment and autism has passed through an
inguinal hernia repair. The perianesthesia nurse is aware that the MAIN surgical risk to this
affected person is:
1. Hypoxia from anesthesia.
2. Quit-organ harm.
3. Renal insufficiency.
4. Toxicity from heavy metallic. - ANS-1. Hypoxia from anesthesia.
Domain: Physiological Needs
Content Area: Stability of Respiratory System
Reference: Hockenberry, M., Wilson, D. Wong's Nursing Care of Infants and Children. Tenth Ed.
CV. Mosby, 2015. Pg 1348.
A affected person arrives in Phase I PACU receiving oxygen via nasal cannula at 2 liters in line
with minute. The wave forms on pulse oximetry are to start with regular with an oxygen
saturation of a hundred%. Ten mins after arrival to Phase I the alarm is sounded and the nurse
notes that the screen has stopped monitoring the pulse. The perianesthesia nurse must FIRST:
1. Growth the oxygen waft charge to the nasal cannula.
2. Flow the probe from the finger to the earlobe.
3. Encourage affected person to cough and deep breathe.
Four. Evaluate the patient for destructive physiological modifications. - ANS-four. Compare the
patient for detrimental physiological modifications.
Domain: Physiological Needs
Content Area: Stability of respiratory machine
Reference: Odom-Forren, J. Drain's PeriAnesthesia Nursing: A Critical Care Approach. Sixth
Ed. Elsevier Saunders, 2013. Pg 357.
A patient in the PACU who acquired popular anesthesia is wakeful and alert with stable vital
symptoms. When the perianesthesia nurse gets rid of the affected person's oxygen the O2
saturation periodically drops to 88%. The perianestheisa nurse's subsequent exceptional
movement is to:
1. Notify the anesthesia company
2. Administer albuterol nebulizer
three. Start the stir-up regimen
four. Perform chin lift - ANS-3. Start the stir-up regimen
Domain: Physiological Needs
Content Area: Stability of breathing machine
Reference: Urden, L., et al. Thelan's Critical Care Nursing, Diagnosis and Management,
seventh Ed. Elsevier, 2014. Pg 1103.
, A patient with kind 2 diabetes mellitus is admitted the day of surgical treatment with a glucose of
610 mg/dl. The perianesthesia nurse is aware that the affected person can be at hazard for:
1. Diabetic ketoacidosis.
2. Hypercalcemia.
Three. Diabetes insipidus.
4. Hyperkalemia. - ANS-1. DKA
Domain: Physiological Needs
Content Area: Stability of Endocrine System
Reference: Fleisher, L. And Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health
Sciences, December, 2011. Pg 122.
A week earlier than a patient's surgical procedure, it changed into mentioned within the history
and bodily assessment that the affected person has acute bronchitis. The perianesthesia
nurse's BEST action is to:
1. Proceed with surgical operation.
2. Get an order for an antibiotic.
Three. Notify the doctor.
4. Put off the surgical treatment. - ANS-3. Notify the physician.
Domain: Physiological Needs
Content Area: Stability of respiration device
Reference: American Society of PeriAnesthesia Nurses. Perianesthesia Nursing Standards,
Practice Recommendations, and Interpretive Statements 2015 - 2017. ASPAN, Cherry Hill, NJ,
2015. Pg 34
During a pre-op assessment, a affected person reviews taking his morning dose of clinical
marijuana. The perianesthesia nurse understands that:
1. Current use may additionally impair capacity to provide consent.
2. No movement is wanted because of home remedy regimen.
Three. It's miles acceptable if there are no bodily signs and symptoms of marijuana intoxication
four. Recent use will lower publish-op agitation - ANS-1. Latest use can also impair capability to
offer consent
Domain: Safety Needs
Content Area: Deliver, file, and talk care based on standard countrywide standards of
perianesthesia nursing exercise and relevant legal guidelines, pointers, and regulations
Reference: Fleisher, L. And Roizen, M. Essence of Anesthesia Practice, 3rd Ed. Elsevier Health
Sciences, December, 2011. Pg 616-617.
During discharge making plans of a patient who has obtained 6 gadgets of regular recombinant
human insulin (Humulin) subcutaneously, the perianesthesia nurse acknowledges that the
PEAK motion will occur in:
1. 1-five hours.
2. Five-7 hours.
3. 10-20 minutes.
4. 30-forty five minutes - ANS-1. 1 to five hours
